主觀及客觀評估短期豎腕副木使用對腕隧道症候群的療效：初步研究

腕隧道症候群是常見的疾病，治療分爲保守治療及手術治療。腕部副木的穿戴是保守療法之一，本研究主要目的，是利用主觀及客觀的方法來評估豎腕副木在短期內對腕隧道症候群的療效。本研究對象爲6位腕隧道症候群的受試者，每日至少須穿戴中性位置(neutral position)之副木8小時。使用症狀嚴重程度及功能狀態評量表、握力評估、神經傳導速度檢查及超音波攝影比較受試者穿戴豎腕副木前與兩週後以及一個月後之結果。結果顯示主觀評估上，經由穿戴副木症狀嚴重度量表在兩週及一個月後測量均有明顯差異；而功能性量表則無統計上的差異。在客觀評估上，超音波測量、神經傳導速度測量在兩週及一個月後測量並無統計上的意義，但在大拇指與食指對掌捏力均有增加並有統計上的意義。本研究顯示腕隧道症候群病人經由副木治療二至四週，每日穿戴八小時以上，在症狀及指力均有明顯的改善。本篇研究限制主要爲樣本過少及未採用隨機臨床研究，會導致結論不確定，未來需進一步研究。

關鍵字

腕隧道症候群；副木；高解析度超音波攝影

並列摘要

Splinting is a conservative treatment for carpal tunnel syndrome (CTS), but the duration of treatment required for symptom relief has not been determined definitively. The aim of this study was to use subjective and objective methods to investigate the short-term therapeutic effect of splinting for CTS. Six participants with CTS were enrolled in this study. Participants were required to wear the splints for at least eight hours a day. Symptom Severity and Functional Status Scales, pinch power, nerve conduction studies, and high resolution sonography were used to evaluate the patients before and at two weeks and one month after splinting. The Symptom Severity scores, but not the Functional Status scores, improved significantly at two weeks and one month after splinting. Nerve conduction studies and sonography results were not significantly different, but pinch power was significantly improved. Therefore, for patients with CTS, significant improvements were noted in symptoms, ability to perform daily activities, and pinch power after splinting 8 hours a day for two weeks to one month. The limitations of this study include the small number of participants and absence of RCT, which might have influenced the results. Further evaluation is needed.

並列關鍵字

carpal tunnel syndrome ； splint ； high resolution sonography

國際替代計量

主觀及客觀評估短期豎腕副木使用對腕隧道症候群的療效：初步研究

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